| Entity Name: | PAULETTE GOPMAN PERLOWIN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PAULETTE GOPMAN PERLOWIN LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 26 Oct 2021 (3 years ago) |
| Document Number: | L21000464808 |
| FEI/EIN Number |
87-3263703
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4291 NW 1ST DR., DEERFIELD BEACH, FL, 33442, UN |
| Mail Address: | 4291 NW 1ST DRIVE, DEERFIELD BEACH, FL, 33442, UN |
| ZIP code: | 33442 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780337329 | 2022-02-03 | 2022-02-03 | 4291 NW 1ST DR, DEERFIELD BEACH, FL, 334429245, US | 4291 NW 1ST DR, DEERFIELD BEACH, FL, 334429245, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-471-2801 |
| Fax | 9545311708 |
Authorized person
| Name | MS. PAULETTE G PERLOWIN |
| Role | NURSE PRACTITIONER, OWNER |
| Phone | 9544712801 |
Taxonomy
| Taxonomy Code | 363LA2200X - Adult Health Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 768217400 |
| State | FL |
| Issuer | INDIVIDUAL NPI |
| Number | 1639230899 |
| Name | Role | Address |
|---|---|---|
| PERLOWIN PAULETTE G | Manager | 4291 NW 1ST DR., DEERFIELD BEACH, FL, 33442 |
| PERLOWIN GARY | Authorized Person | 4291 NW 1ST DR., DEERFIELD BEACH, FL, 33442 |
| PERLOWIN PAULETTE G | Agent | 4291 NW 1ST DR., DEERFIELD BEACH, FL, 33442 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-20 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-10-26 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
